Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client who has a new prescription for metformin. Which of the following statements should the nurse include?

A. You should take this medication on an empty stomach.B. You might notice a metallic taste in your mouth.C. This medication might cause your skin to turn yellow.D. You should avoid eating carbohydrates while taking this medication.

Correct Answer: B

Rationale: Metformin can cause a metallic taste, a common side effect. It's taken with meals, doesn't cause jaundice, and carbs aren't restricted.

Question 2 of 5

A nurse is assisting with the care of a client who is postoperative following a cholecystectomy. Which of the following findings should the nurse report to the provider?

A. Temperature of 37.2Â°C (99Â°F)B. Yellowish drainage from the incision site.C. Pain rating of 4 on a 0 to 10 scaleD. Heart rate of 88/min

Correct Answer: B

Rationale: Yellowish drainage suggests infection or bile leakage, requiring reporting. Mild fever, moderate pain, and normal heart rate are less urgent post-cholecystectomy.

Question 3 of 5

A nurse is reinforcing teaching with a client who has a new prescription for a metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

A. I should wait 10 seconds between puffs.B. I should rinse my mouth with water after each use.C. I should depress the canister twice with each use.D. I should exhale quickly after inhaling the medication.

Correct Answer: B

Rationale: Rinsing the mouth prevents irritation or infection from residual medication. Waiting time is typically 30-60 seconds, one depression per puff, and breath-holding aids absorption.

Question 4 of 5

A nurse is collecting data from a client who reports recent weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated?

A. Capillary refill of less than 2 secondsB. Distended neck veinsC. Dry mucous membranesD. Strong peripheral pulses

Correct Answer: C

Rationale: Dry mucous membranes are a key sign of dehydration due to reduced fluid volume. Quick refill, distended veins, and strong pulses suggest adequate hydration.

Question 5 of 5

A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the nurse include on the tray?

A. Clam chowderB. Shrimp saladC. Roasted salmonD. Pulled pork sandwich

Correct Answer: C

Rationale: Kosher dietary laws prohibit shellfish (clams, shrimp) and pork, but allow fish with fins and scales like salmon. Roasted salmon is the only compliant option.